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I love to swim in the ocean for 20 or 30 minutes. The water is cold (55° F) but I don't mind. I'm almost 80. I had my mitral valve repaired five years ago, and my heart rate is sometimes irregular. Are my cold-water swims okay for my heart?
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The American Heart Association hopes that its definition of ideal cardiovascular health will encourage people to strive to be healthier. The AHA defines "ideal cardiovascular health" as the combination of four healthy behaviors and three health measurements. Ideal cardiovascular health is an excellent benchmark and a goal to strive for. Aim for what's possible instead of what's perfect. If you don't currently qualify for any of the seven ideal categories, working to achieve one of them will improve your odds of avoiding a heart attack, stroke, heart failure, or other cardiovascular event.
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A large clinical trial dubbed AIM-HIGH was designed to gauge whether adding a prescription form of niacin (Niaspan) to a cholesterol-lowering statin makes sense for people with low HDL. When the trial's safety panel analyzed preliminary results, niacin didn't offer any additional benefit. A small and highly unexpected difference in the rate of ischemic (clot-caused) stroke — 1.6% in the niacin group versus 0.7% in the statin-only group — contributed to the panel's decision to halt AIM-HIGH early.
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